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General NPI Number Information
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NPI Number | 1346820222
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Entity Type | Organization
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Legal Business Name | ACORN THERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 825 N CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1132
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Country | US
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Telephone | 708-612-0536
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Fax |
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Provider Business Mailing Address
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Address Line | 825 N CASS AVE STE 115
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City | WESTMONT
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State | IL
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Zip | 60559-6401
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Country | US
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Telephone | 708-232-0081
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | MICHELE RACANELLI
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Credential | LCPC, CADC
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Telephone | 708-232-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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